Individual
MRS. JILL BERNADETTE STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP 60188518
Contact information
Practice address
321 W 1ST AVE, TOPPENISH, WA 98948-1527
(509) 865-5233
Mailing address
321 W 1ST AVE, TOPPENISH, WA 98948-1527
(509) 594-9506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60188518
WA
Other
Enumeration date
02/15/2017
Last updated
10/27/2021
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